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<br />I /' n (I n I ~ q ~ to' <' ,.-', <br />,--<(...,cx.~..{X , , ..J f-:( <br />CITY OF ZHlPHYRU:rIJIIS PERMrr APPI.JICA'l'ION\.___ <br />BUn,l>n,(~ 1H1lPAR'l'MIllN'f 5335 B~h BTRlllBl'r ZlIIPIIYRHII.r,s, FI, 3JB40 <br />PhoneIB13-'l80-0020 Fa,tI813-'7BO,.0021 I '.--? <br />IJA'flll RBdBIVElD -/_=o:::it..-::??:2.. <br />l?IJANS RBlVII!lW FRill <br /> <br />, OHHBJR' 8 NAt'1El-.tL~~_j._.c.bn's ~:0~J~.O~.~.__:-..._.. <br />,lOB SI'I'E] ADDRBJ8S_.S!~.~~_~.~_:s..i:re_~t:_u_ <br /> <br />PHON81 C()N'['AC'~.Jl~'-..L€.3'$J <br /> <br />LHlG1\L DBJSCRIP'l'lOlll [,0'1' (S) <br /> <br />~ <br /> <br />BLOCK <br /> <br />~ <br /> <br />SUBDIVISIUN -~j~~S[~~J::_...__ <br /> <br />WORK PRUPSIllD I [] NEW COHSTRUCTION <br /> <br />PARCEL [J.) il \:;:l ~ ~ - :::L\ - 0000 - 044 DO - OO(~ (OBTAIN I!'RO~/l PROPElR'[''l 'I'AK NO'l'J{!U:) <br /> <br />-----~._----_._._~-_._------_._.._~-_._._-_.__.._~_.-----------'--'-.'-----'-"---'-' <br /> <br />~A/l/)I'rIO[.J <br /> <br />[] Al,'l'ERA'I'WN <br /> <br />[) REPAIR <br /> <br />I~j 11181'AI,I, <br /> <br />[JSlcm <br /> <br />LJ fvl(JV El <br /> <br />[] Ll El t:IOlJ.r 8 H <br /> <br />PROPOSHlll lI8ElI I-%m., I!'AlvJU,Y D\1ElLldl:/G <br /> <br />CJtvJUL'I'I - FmUI,\' <br /> <br />LJ II OF' 1ItH'['8 <br /> <br />[OJ HnBrr"~ HUl'lm <br /> <br />[) COl'1MERC U\l. <br /> <br />n INDUSTRIAl., <br /> <br />[J SN U1f.11 Nr~ poor J <br /> <br />f] O'l'HER <br /> <br />[_1 RES'l'AURAI.1'l' & HEAI.'l'H [JEPJ\R'1'I'1ElN'l' APPROVAl, <br />IJlTISC!H I P'l' ION n P' N( lHK .--2-=t]~l...~.,.-,..~-'Y'l'J~_9-c\4:ihfJ:U_.~l~~,Qp:\!(.te.~_~_..._____.____ _.._. <br /> <br />BlJn,rJIN(~ 8 I ZHl <br /> <br />-----.-----.- --- -------___.__w___ <br /> <br />SQUARE FOO'l'l\f3E <br /> <br />!I HI remT <br /> <br />RHl8 TIJAJN'I'IAJ.: <br />COM~1E]R(! I 1\1, : <br /> <br />--. ::J-...........-. <br /> <br />l~BlIlI.In IIG <br /> <br />1\'l"I'ACII (:2) PLO'I' PLANS & (:2) BElTS OF BII I 1,lnNt~ PIJAHS & (I) ~E:' ") El~ F()Rt,t8, <br />A'l"J'ACII (3) SErrs OF Bt/] LIHNG Pl,A118 & (I) SE'l' EJl1EfH3Y F'ORr-1S, y" -1q <br />PRuPER1'Y StJRVEY REQUIRED FOR AI.,f, NEW (~ONS'l'RtJCTI()N'1 ~ -lJiR <br /> <br />~; ~r; <br /> <br />[J WR."~ <br /> <br />PERMITS REnUESTED <br />-__111I.____ <br /> <br />$ -- _5_0.!pOQJ:?C _ VAL,IJATIOU OF TOTAl, COllS'l'RUC'fION <br /> <br />I.\( Ea,HJC'l'Rj(~Al, <br /> <br />.__..,gOb.__..._ <br /> <br />Af.1P SElRVICEl <br /> <br />[~ F'I,URIDA I?mmR <br /> <br />r I Pl,lH-1B Jll(~ <br />1\t'1'1 H!CIIA 11 tClI L <br /> <br />["'" W\S <br /> <br />I.{ROOFIN(3 <br /> <br />$_._-~-~-Q.~ :.QQ---. VA[,UATIOU OF' l"1ElCIIANCl1\/, nISTAl,l,A'!' WU <br /> <br />(J S PElt! IAUl'Y <br /> <br />[J O'l'HER <br /> <br />'l'YlJE OF' CONSTRuC!'nON I (J BLOCK <br /> <br />(VFRAlYIEJ <br /> <br />CJ STElEl, <br /> <br />[) OTIIElR <br /> <br />F \lHSHED FJ,oOR Ell,EVA'l'IONS <br /> <br />-------_.__._~ <br /> <br />IS PRC).]ECT HI FLoon ZOIlE AREAn YES <br /> <br />1010 <br /> <br /> <br />BUll,DBR COMP1\IlL~01 (3"nIf:JJt~~.i~ _l...:;~::;'\c._...__ __.___ <br />~ . ~ "\, S'I'ATEJ CElRT OR REl(HST # ..c...~~..;.Q~J4d-~._.__:.-Jl <br />8l(lH~'l'UR' "~_~~~_."_ crn PRO'''aslHG fUKL_."___~--t}\ <br /> <br />**************"'***"*'*""""**'*'*"*A*"""'*"'A"*****", <br /> <br /> <br />t!J7~-__ <br /> <br />Cot-1 PAN Y ....~_~~.S-l.~:!::'.Ci...~. .__..._._____ <br />8'l'A'I'Hl CERT UR REGIST # e.c. \-5()b lo1i3 <br />Cl'J''l PROCE:SSrNlJ # Cf, .---.....--..--.----........ <br /> <br />Bll,RC'l'RI I <br /> <br />'A*""'**"***"'**'*'*******'**'*'**'A*******'*,**,*'** <br /> <br />-.-------....-.--- --..----.--..----------..-....--- -'". --" <br /> <br />PIJlJMBlIIR <br />8 H3HA'I'lJRE y\ 16- <br />---_._~-~.__.~_._----_._-~-----_.....;.-~-- <br /> <br />COI-1Pl\NY-.....-__....__._..... ..._.__..........__.....__._ _. _ <br />STA'!'E CHlRT OR REJCHS'l' II ___.._________...._. <br />CITY PROCElSSnm It <br /> <br />'~*.'***"*****'*"*'**'****"*'*******'****'**'*********'***'A*~ <br />MIR!HANICAl'. /~/ u- t.~O ~1.P .JIN'l_...s. O~. . ..:J\ Co:n--t~_:L~....__ .:..__...._.__.._....._... <br />// STATE CEJRT OR RE](~ 1ST # R.Yn roISO~ <br /> <br />8 ,"'m'lll," ~.;..... ,~::._;~;::._" ;,.'. ~'.: .:':':':::",1.':': ,I; .;.:;;~.:,~~~ <br /> <br />-.....- --.-.~- -----..--.-__.___._ ._.n___~_. ____._ .__ <br /> <br />(l'l'U BlR <br /> <br />COf'.lPANY <br />STATE CERT OR.REGIST...1i-.---.------..-.--... <br />CITY PROCESSING # -.-.._.._n___.._._...... <br /> <br />-_._--------_._--~. <br /> <br />S WNA'I'IJREl <br /> <br />***"'*"'*'A'**'*"*'**"""""*"'**"*""A'*'*"*'**""'" <br /> <br />- ._.,-~.~------~____.__, "H.____.__. <br />